Context Navigation Menu

Context Navigation Menu

The IBIS-PH site uses Javascript for navigation menu popouts,
user preferences, query result options, and interactive SVG
charts and maps. The option to enable/disable Javascript
(Activescript for MS-Internet Explorer) is typically
found in the browser's [Tools/Options] menu.

Note: this site is navigatable and usable without scripting
enabled. Also, the site supports keyboard navigation. If
you are experiencing difficulties please contact us.

PHOM Indicator Report of Diabetes Prevalence

Why Is This Important?

About 142,000 Utahns have been diagnosed with diabetes. Diabetes is a disease that can have devastating consequences. It is
the leading cause of non-traumatic lower-extremity amputation and renal failure. It is also the leading cause of blindness
among adults younger than 75. It is one of the leading causes of heart disease.

Diabetes places an enormous burden on health care resources, approximately $245 billion is spent annually (in direct medical
costs ($176 billion) and in indirect costs ($69 billion) such as disability, work loss, and premature death). (See National
Diabetes Statistics Report, 2014). In Utah, more than a billion dollars each year are spent on direct and indirect costs of
diabetes.

A model using simulated data projected that diabetes incidence will increase from the current rate of 8 cases per 1,000 population
to about 15 in 2050 nationwide. Prevalence of diabetes (including undiagnosed cases) can be as high as one of three Americans
by 2050 (http://www.pophealthmetrics.com/content/8/1/29).

Currently, about 80 million Americans aged 20 and older have pre-diabetes, a condition that puts them at high risk for developing
diabetes. For many individuals, taking small steps, such as losing 5-7 percent of their weight or increasing physical activity,
can help them delay or prevent developing diabetes.

Adults With Diabetes by Race, Utah, 2011-2013

Prevalence of diabetes is especially high for members of the Pacific Islander and American Indian populations. It is important
to note that these rates are age-adjusted, meaning that rates are artificially compared as though the age distribution for
all populations were the same.

Data Source

Data Notes

"Don't know" and "Refused" responses were eliminated from the denominator. Age-adjusted to U.S. 2000 standard population
based on 3 age groups: 18-34, 35-49, and 50+.

Risk Factors

Being overweight or obese is a major risk factor for developing diabetes. The risk of developing diabetes can be substantially
reduced through weight loss and regular physical activity. The Diabetes Primary Prevention Study (DPP) showed that weight
loss and participation in regular physical activity can significantly decrease the risk. The DPP clinical trial included over
3,000 people who had impaired fasting glucose and were at an increased risk for developing diabetes. Participants who engaged
in moderately intense physical activity for 30 minutes per day and lost 5 to 7 percent of their body weight decreased their
risk of diabetes dramatically. This behavioral activity was effective for all participants in the study, regardless of age
or ethnic group (http://www.cdc.gov/diabetes/news/docs/dpp.htm). Some risk factors cannot be modified, such as older age or
membership in a minority racial or ethnic group. Nevertheless, risk can be substantially reduced through adhering to a nutritious
diet and participating in regular physical activity.

How Are We Doing?

The prevalence of diabetes has risen and will likely continue to rise steadily, both nationally and in Utah. Several factors
contribute to this increase. Increasing rates of obesity and sedentary lifestyles add to the number of people at risk for
developing diabetes, while improvements in medical care mean people with diabetes are living longer (see http://www.pophealthmetrics.com/content/8/1/29).

A large number of individuals have pre-diabetes. Pre-diabetes is a condition in which blood sugar rates are elevated but not
yet high enough to reach the clinical threshold of a diabetes diagnosis. An estimated 86 million Americans age 20 and older
have pre-diabetes. Unless those individuals take steps to reduce their risk of diabetes, such as increasing physical activity,
eating a more nutritious diet, or losing weight, the majority will have diabetes within 10 years.

What Is Being Done?

The Healthy Living through Environment, Policy, and Improved Clinical Care (EPICC) Program encourages people with diabetes
to enroll in a diabetes self-management education class. These classes are usually taught by a dietitian, pharmacist, or certified
diabetes educator, and have been shown to help individuals develop the skills they need to manage their diabetes.

The Utah Arthritis Program supports Chronic Disease Self-Management Programs throughout the state. (This program is also called
the Living Well with Chronic Conditions Program.) This six-week program is available throughout the state at no cost and taught
by community members. Information is available from Rebecca Castleton, 801-538-9340, rcastlet@utah.gov.

Healthy People Objective D-1:

Reduce the annual number of new cases of diagnosed diabetes in the populationU.S. Target: 7.2 new cases per 1,000 population aged 18 to 84 yearsState Target: 7.2 new cases per 1,000 population aged 18 to 84 years

The information provided above is from the Utah Department of Health's Center for
Health Data IBIS-PH web site (http://ibis.health.utah.gov). The information published
on this website may be reproduced without permission. Please use the following citation:
"Retrieved
Tue, 03 March 2015 11:44:41
from Utah Department of
Health, Center for Health Data, Indicator-Based Information System for Public Health Web
site: http://ibis.health.utah.gov".